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出牙的体征和症状:新西兰卫生专业人员中持续存在的误解

Teething signs and symptoms: persisting misconceptions among health professionals in New Zealand.

作者信息

Ispas Rares S, Mahoney Erin K, Whyman Robin A

机构信息

Dental Service, Hutt Valley District Board, Private Bag 31907, Lower Hutt 5010.

出版信息

N Z Dent J. 2013 Mar;109(1):2-5.

PMID:23923149
Abstract

OBJECTIVES

To investigate current beliefs and treatment recommendations for teething symptoms among health professionals in New Zealand.

DESIGN

Cross-sectional survey of seven groups of health professionals.

METHOD

A written questionnaire was mailed in March 2011 to 336 health professionals practising in Wellington City, Hutt Valley and Kapiti Coast, in New Zealand. The self-administered questionnaire sought information on how many children are perceived to experience teething symptoms, what symptoms are attributed to teething, suggested treatments for teething symptoms, and how distressing teething is to children and parents.

RESULTS

The response rate to the single-wave survey was 41%. Although the beliefs varied widely across the groups, almost half (48%) of health professionals believed that some children have teething-associated problems, and 32% believed that most children do. Just over one-third of participants incorrectly attributed fever to teething. Health professionals also incorrectly chose nappy rash (31%), loose stools (27%), runny nose (19%) and mouth ulcers (15%) as teething signs or symptoms. Most participants (65%) suggested paracetamol as a treatment for teething; 60% chose teething gels and 48% suggested teething toys or rings. Most respondents believed that teething is moderately distressing to both the child and parent.

CONCLUSIONS

The findings show that misconceptions about the symptoms of teething are held by some health professionals. Many believe that teething causes a variety of serious and systemic symptoms. The study has also shown that teething beliefs vary greatly across the different health professions.

摘要

目的

调查新西兰卫生专业人员对出牙症状的当前看法和治疗建议。

设计

对七组卫生专业人员进行横断面调查。

方法

2011年3月,向新西兰惠灵顿市、哈特谷和卡皮蒂海岸执业的336名卫生专业人员邮寄了一份书面问卷。这份自行填写的问卷旨在收集以下信息:认为有出牙症状的儿童数量、出牙所致的症状、出牙症状的建议治疗方法,以及出牙对儿童和家长造成的困扰程度。

结果

单轮调查的回复率为41%。尽管各群体的看法差异很大,但几乎一半(48%)的卫生专业人员认为一些儿童有出牙相关问题,32%的人认为大多数儿童有。略超过三分之一的参与者错误地将发烧归因于出牙。卫生专业人员还错误地将尿布疹(31%)、腹泻(27%)、流鼻涕(19%)和口腔溃疡(15%)选为出牙的体征或症状。大多数参与者(65%)建议使用对乙酰氨基酚治疗出牙;60%选择出牙凝胶,48%建议使用出牙玩具或牙环。大多数受访者认为出牙对儿童和家长都有一定程度的困扰。

结论

研究结果表明,一些卫生专业人员对出牙症状存在误解。许多人认为出牙会导致各种严重的全身症状。该研究还表明,不同卫生专业对出牙的看法差异很大。

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